Organization Active NPI

Arch Complete Family Dentistry Inc

  • Dental Clinic/Center
  • Chesterton, IN
National Provider Identifier
1366876930
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARCH COMPLETE FAMILY DENTISTRY INC
Practice address
175 E. US Highway 20
Suite 8
Chesterton, IN 46304-8714
Phone
(219) 728-6093
Fax
(219) 728-6096
NPI assigned
Aug 30, 2013
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph A Arch Sr.
Title
Owner
Phone
(219) 728-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IN Primary

Addresses

Primary practice location

175 E. US Highway 20
Suite 8
Chesterton, IN 46304-8714

Mailing address

175 E. US Highway 20
Suite 8
Chesterton, IN 46304-8714
Phone (219) 728-6093

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1366876930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E. US HIGHWAY 20",
            "address_2": "SUITE 8",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048714",
            "telephone_number": "219-728-6093",
            "fax_number": "219-728-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E. US HIGHWAY 20",
            "address_2": "SUITE 8",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048714",
            "telephone_number": "219-728-6093",
            "fax_number": "219-728-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH COMPLETE FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "ARCH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-728-6093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.